Individual
MS. TERRIA NICOLE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3983
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3983
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001239
GA
Other
Enumeration date
08/30/2011
Last updated
01/03/2020
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